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Percutaneous Coronary Intervention in A Rare Case of Single Coronary Ostium Presented with ST Elevation Myocardial Infarction.
Eurasian J Med
October 2019
Department of Cardiology, Ataturk University School of Medicine, Erzurum, Turkey.
Anomalous aortic origin of the left coronary artery (AAOLCA) from the right sinus of Valsalva is a very rare coronary anomaly that can lead to sudden cardiac death (SCD), usually during or after strenuous exercise. The anatomical variation can follow five different courses: interarterial, subpulmonic (intraconal or intraseptal), prepulmonic, retroaortic, or retrocardiac. The interarterial variation is the pattern that has a stronger relationship with SCD.
View Article and Find Full Text PDFThe anomalous infarct-related artery: importance of angiographic detection for successful revascularization.
Catheter Cardiovasc Interv
December 2010
Angioplasty on an infarct-related anomalous right coronary artery arising from posterior coronary sinus.
Ann Acad Med Singap
March 2010
Cardiac Medical Unit, Grantham Hospital, Hong Kong.
Introduction: The objective of this case report was to illustrate the diagnostic and intervention approach of anomalous right coronary artery (RCA).
Clinical Picture: A 60-year-old man presented with acute inferior myocardial infarction. Cardiac catheterisation revealed an anomalous RCA arising from the posterior coronary sinus as the infarct-related artery.
Primary coronary angioplasty in a patient with anomalous origin of the right coronary artery from the left sinus of Valsalva.
J Cardiovasc Med (Hagerstown)
November 2007
Cardiovascular Catheterisation Unit, Cardiovascular Department, Cannizzaro Hospital, Catania, Italy.
We report a rare case of primary coronary angioplasty in a patient with acute myocardial infarction due to thrombotic occlusion of an anomalous right coronary artery arising from the left sinus of Valsalva. The non-invasive method of ischaemia localisation, such as ST-segment elevation on the electrocardiogram, was useful in identifying the infarct-related artery. A major factor was the selection of the guiding catheter to access the anomalous right coronary artery and also to obtain good angiographic visualisation and adequate support for percutaneous coronary intervention.
View Article and Find Full Text PDFPrimary percutaneous coronary intervention of an anomalous right coronary artery originating from the left sinus of valsalva.
Acute Card Care
March 2007
Department of Interventional Cardiology, Cardiovascular Institute, Hospital Clínico San Carlos, Madrid, Spain.
The presence of an anomalous origin of a coronary artery as the infarct related vessel during primary percutaneous coronary intervention for acute ST elevation myocardial infarction is rare and may present a technical challenge. We reported on a primary coronary percutaneous intervention performed in a right coronary artery originating from the left coronary sinus. The technical tips and tricks of treating congenital coronary anomalies are reviewed.
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